Individual provider Active NPI

Mary Ann Hayden, MS, A-GNP-C

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1477073609
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-77512-092 Issued in KS
Practice address
3224 SW 119TH Street
Hennessee & Associates
Oklahoma City, OK 73170
Phone
(405) 759-3880
Fax
(405) 759-3882
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-77512-092 KS Primary

Addresses

Primary practice location

3224 SW 119TH Street
Hennessee & Associates
Oklahoma City, OK 73170

Mailing address

18112 206TH St
Tonganoxie, KS 66086-5431
Phone (913) 832-7628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170926001044 KS Practitioner - Nurse Practitioner 6608140983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midland Care Physician Services LLCGroup PAC ID 0446627202, 4 clinicians
Ps127Andjn434 LLCGroup PAC ID 3173702883, 4 clinicians

Practice addresses (Care Compare)

2655 SW Wanamaker Rd
Suite H
Topeka, KS 66614-4477
Phone (785) 408-5228

2655 SW Wanamaker Rd H
Vintage Medical Associates
Topeka, KS 66614-4477
Phone (785) 408-5228

Hospital & facility affiliations

  • Elara Caring Home health agency, Topeka, KS, CCN 177242
  • Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086
  • LMH Hospital, Lawrence, KS, CCN 170137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Care Physician Services LLC CurrentSince Feb 1, 2026 Accepting new patients
Ps127&Jn434, LLC CurrentSince Mar 17, 2018 Accepting new patients

Locations

2655 SW Wanamaker Rd
Ste H
Topeka, KS 66614
Phone (785) 408-5228

Interoperability endpoints

  • Direct secure messaging: mary.ann.hayden.1@14729.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1477073609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18112 206TH ST",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660865431",
            "telephone_number": "913-832-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 SW 119TH STREET",
            "address_2": "HENNESSEE & ASSOCIATES",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73170",
            "telephone_number": "405-759-3880",
            "fax_number": "405-759-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "MS, A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-77512-092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.